| Haines Family Dental, Llc | |
|
1104 Cooper St Deptford NJ 08096-3012 | |
| (856) 845-1200 | |
| Not Available |
| Full Name | Haines Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1104 Cooper St, Deptford, New Jersey |
| Authorized Official Name and Position | Gregory Haines (OWNER) |
| Authorized Official Contact | 6093303804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haines Family Dental, Llc 1 Pond View Dr Apt E1 Woolwich Township NJ 08085-5607 Ph: (609) 330-3804 | Haines Family Dental, Llc 1104 Cooper St Deptford NJ 08096-3012 Ph: (856) 845-1200 |
| NPI Number | 1770128423 |
|---|---|
| Provider Enumeration Date | 11/16/2019 |
| Last Update Date | 11/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770128423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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